{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "LEGEND REHAB INC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "PO BOX 357283",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "GAINESVILLE",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "32635-7283",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "352-872-5200",
"MailingAddressFaxNumber": "352-872-5109",
"FirstLinePracticeLocationAddress": "4210 NW 37TH PL",
"SecondLinePracticeLocationAddress": "SUITE 200",
"PracticeLocationAddressCityName": "GAINESVILLE",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "32606-7700",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "352-872-5200",
"PracticeLocationAddressFaxNumber": "352-872-5109",
"EnumerationDate": "01/21/2010",
"LastUpdateDate": "06/02/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HUGHES",
"AuthorizedOfficialFirstName": "DAVID",
"AuthorizedOfficialMiddleName": "JOHN",
"AuthorizedOfficialTitle": "OCCUPATIONAL THERAPIST/OWNER",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "OTR/L",
"AuthorizedOfficialTelephoneNumber": "352-213-6105",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "225XP0019X",
"TaxonomyName": "Physical Rehabilitation Occupational Therapist",
"LicenseNumber": "OT7923",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
}
}
}
}